Save Rural Hospitals Act of 2023

S.803/H.R.3635, Save Rural Hospitals Act of 2023, issues related to area wage index reform. S.1302/H.R.2389, the Resident Physician Shortage Reduction Act. H.R.4758, Accelerating Kids' Access to Care Act, issues related to state provider licensing reciprocity for Medicaid services. H.R.3876/S.2323, Access to Genetic Counselor Services Act. Issues related to state Medicaid waiver approvals. Issues related to CMS telehealth policies. Issues related to Medicares hospital at home programs. Issues related to hospital outpatient reimbursement. Issues related to hospital inpatient reimbursement. Issues related to clinician payment under the Medicare Physician Fee Schedule. Issues related to so-called site-neutral cuts. Issues related to Medicare Advantage. Issues related to Medicare support for Graduate Medical Education.

Client expense: $70,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; regulatory relief for low-wage hospitals; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: $50,000

Government targets: SENATE

S.803/H.R.3635, Save Rural Hospitals Act of 2023, issues related to area wage index reform. S.1302/H.R.2389, the Resident Physician Shortage Reduction Act. H.R.4758, Accelerating Kids' Access to Care Act, issues related to state provider licensing reciprocity for Medicaid services. H.R.3876/S.2323, Access to Genetic Counselor Services Act. Issues related to state Medicaid waiver approvals. Issues related to CMS telehealth policies. Issues related to Medicares hospital at home programs. Issues related to hospital outpatient reimbursement. Issues related to hospital inpatient reimbursement. Issues related to clinician payment under the Medicare Physician Fee Schedule. Issues related to so-called site-neutral cuts. Issues related to Medicare Advantage. Issues related to Medicare support for Graduate Medical Education.

Client expense: $30,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023; issues concerning rural emergency hospitals.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.803/H.R.3635, Save Rural Hospitals Act of 2023, issues related to area wage index reform. H.R.5378, Lower Costs, More Transparency Act, issues related to reimbursement cuts and administrative burdens on hospitals. S.1302/H.R.2389, the Resident Physician Shortage Reduction Act. H.R.4758, Accelerating Kids' Access to Care Act, issues related to state provider licensing reciprocity for Medicaid services. Issues related to CMS telehealth policies. Issues related to Medicares hospital at home programs. Issues related to hospital outpatient reimbursement. Issues related to hospital inpatient reimbursement. Issues related to clinician payment under the Medicare Physician Fee Schedule. Issues related to Medicare Advantage. Issues related to Medicare support for Graduate Medical Education.

Client expense: $50,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; regulatory relief for low-wage hospitals; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023; issues concerning rural emergency hospitals.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803/H.R.3635, Save Rural Hospitals Act of 2023, issues related to area wage index reform. H.R.5378, Lower Costs, More Transparency Act, issues related to reimbursement cuts and administrative burdens on hospitals. S.1302/H.R.2389, the Resident Physician Shortage Reduction Act. Issues related to CMS telehealth policies. Issues related to Medicares hospital at home programs. Issues related to Medicare geographic reclassification. Issues related to hospital outpatient reimbursement. Issues related to clinician payment under the Medicare Physician Fee Schedule. Issues related to Medicare Advantage. Issues related to Medicare support for Graduate Medical Education.

Client expense: $40,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; regulatory relief for low-wage hospitals; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.803/H.R.3635, Save Rural Hospitals Act of 2023, issues related to area wage index reform. H.R.5378, Lower Costs, More Transparency Act, issues related to reimbursement cuts and administrative burdens on hospitals. S.1302/H.R.2389, the Resident Physician Shortage Reduction Act. H.R.4286, the Increasing Access to Lung Cancer Screening Act. Issues related to CMS telehealth policies. Issues related to Medicares hospital at home programs. Issues related to Medicare geographic reclassification. Issues related to hospital outpatient reimbursement. Issues related to clinician payment under the Medicare Physician Fee Schedule.

Client expense: $70,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; regulatory relief for low-wage hospitals; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rural health care issues, generally; Medicare Area Wage Index; S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; issues related to 340B program, generally; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: Not reported

Rural health care issues, generally; Medicare Area Wage Index; S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; issues related to 340B program, generally; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: Not reported

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2840 - Bipartisan Primary Care and Health Workforce Act - Re: Facility fees; contracting practices; price transparency H.R. 5378 - Lower Costs, More Transparency Act - Re: Site-neutral & hospital price transparency H.R. 2665/S. 3430 - Supporting Safety Net Hospitals Act, Better Mental Health Care Lower-Cost Drugs and Extenders Act of 2023 - Re: elimination of DSH cuts Improving Seniors' Timely Access to Care Act - Re: reforms to the Medicare Prior Authorization Process H.R. 4968 - The Gold Card Act of 2023 - Re: Reforms to the Medicare Prior Authorization Process H.R. 977 / S. 470 - Patient Access to Higher Quality Health Care Act of 2023 - Re: changing current law limiting self-referral to physician-owned hospitals S.803/ H.R. 3635 - Save Rural Hospitals Act of 2023 - Re: Area Wage Index floor S.1110/H.R. 6430 - Rural Hospital Support Act, Assistance for Rural Community Hospitals (ARCH) Act - Re: making permanent rural payment programs (LVH/MDH) IMD Exclusion Support Medicaid Directed Payment programs Support accountability and transparency in Medicare Advantage

Client expense: $543,000 · Firm income: Not reported

Medicaid Disproportionate Hospital (DSH) payment cuts - Urged Congress to avoid Medicaid Disproportionate Share Hospital (DSH) payment cuts scheduled to begin in FY 2024. Urged passage of Supporting Safety Net Hospitals Act (H.R. 2665). Supported temporary delay of Medicaid DSH cuts in continuing resolution (H.R. 6363). Lower Costs, More Transparency Act (H.R. 5378) - Opposed adoption of site-neutral payment policies for drug administration and increased fines related to price transparency requirements for hospitals. Urged Congress to redirect its focus from site-neutral payment policies to reducing administrative burdens and increasing, rather than reducing, payments for care delivery in rural areas. The Medicare Dependent Hospital (MDH) program and the Low Volume Hospital Payment Adjustment (LVA) - Supported passage of The Rural Hospital Support Act (S. 1110) Medicare Area Wage Index - Supported passage of the Save Rural Hospitals Act (S. 803/H.R. 3635) Rural health care - Responded to House Ways and Means Committees Request for Information on ways to improve healthcare in rural and underserved areas. Urged Congress to consider utilizing the Vizient Vulnerability Index to help identify key challenges different rural communities face. Supported passage of the Rural Hospital Closure Relief Act (S. 1571) and the Conrad State 30 and Physician Access Reauthorization Act (H.R. 4924/S. 665). Urged further changes to Rural Emergency Hospital designation. Proposed Medicaid Managed Care Rule - Joined several other hospital advocacy organizations in signing a letter to CMS urging the agency not to finalize proposals related to provider-supported funding in the Medicaid Managed Care Proposed Rule. Supported CMSs proposal to establish the Average Commercial Rate (ACR) as the upper payment limit for inpatient and outpatient hospital services in the context of state directed payments. Medicare-supported Graduate Medical Education - Supported passage of the Resident Physician Shortage Reduction Act (H.R. 2389/S. 1302). Medicare Home Infusion - Supported passage of the Preserving Patient Access to Home Infusion Act (S. 1976/H.R. 4104). Issues related to pharmacy benefit managers; monitoring the Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Issues related to hospital and provider payment

S.803/H.R.3635, Save Rural Hospitals Act of 2023, issues related to area wage index reform. H.R.5378, Lower Costs, More Transparency Act, issues related to reimbursement cuts and administrative burdens on hospitals. S.3503/H.R.5013, the Value in Healthcare Act, issues related to the Medicare Shared Savings Program and APM incent. H.R.4286, the Increasing Access to Lung Cancer Screening Act. S.1302/H.R.2389, the Resident Physician Shortage Reduction Act. Issues related to Medicaid policies for pediatric populations. Issues related to CMS telehealth policies. Issues related to hospital at home programs. Legislative proposals to improve access to behavioral health and pediatric behavioral health services, including through workforce investments.

Client expense: $30,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; issues related to 340B program, generally; issues related to hospital reimbursement, generally.

Client expense: Not reported · Firm income: $80,000

Government targets: SENATE

Medicaid Disproportionate Hospital (DSH) payment cuts - Urged Congress to avoid Medicaid Disproportionate Share Hospital (DSH) payment cuts scheduled to begin in FY 2024. Urged passage of Supporting Safety Net Hospitals Act (H.R. 2665). Supported temporary delay of Medicaid DSH cuts in continuing resolution (H.R. 5860). Lower Costs, More Transparency Act (H.R. 5378) - Supported inclusion of provision to delay Medicaid DSH payment cuts and provisions similar to those in the Improving Seniors Timely Access to Care Act to update requirements for the use of prior authorization by Medicare Advantage organizations. Opposed adoption of site-neutral payment policies for drug administration and increased fines related to price transparency requirements for hospitals. Medicare-supported Graduate Medical Education - Supported passage of the Resident Physician Shortage Reduction Act (H.R. 2389/S. 1302). Medicare Home Infusion - Supported passage of the Preserving Patient Access to Home Infusion Act (S. 1976/H.R. 4104). Rural health care - Developed and provided feedback to the House Ways and Means Committee RFI related to improving care access in rural and underserved areas. Supported passage of the SAVE Rural Hospitals Act (S. 803/H.R. 3635); the Rural Hospital Closure Relief Act (S. 1571); the Rural Hospital Support Act (S. 1110); the Conrad State 30 and Physician Access Reauthorization Act (H.R. 4924/S. 665). Urged further changes to Rural Emergency Hospital designation.

Client expense: $300,000 · Firm income: Not reported

S.803/H.R.3635, Save Rural Hospitals Act of 2023, issues related to area wage index reform. S.2323/H.R.3876, the Access to Genetic Counselor Services Act of 2023 H.R.5378, Lower Costs, More Transparency Act, issues related to reimbursement cuts and administrative burdens on hospitals. H.R.4822, the Health Care Price Transparency Act of 2023, issues related to reimbursement cuts and administrative burdens on hospitals. S.2137/H.R.5159, Preserving Access to Home Health Act. Issues related to CMS telehealth policies, including requirements for providers to list their home addresses. Issues related to hospital at home programs. Legislative proposals to improve access to behavioral health and pediatric behavioral health services, including through workforce investments. Issues related to Tennessees Medicaid DSH allotment.

Client expense: $40,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; issues related to 340B program and hospital reimbursement.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

General health care issues and Medicare reimbursement; S.803/H.R.3635, Save Rural Hospitals Act of 2023.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

S.803, Save Rural Hospitals Act; H.R.3635, Save Rural Hospitals Act of 2023; issues related to 340B program and hospital reimbursement.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE